healthcosts.net
New Patient Office Visit (level 5) at Fishermens Community Hospital
3301 OVERSEAS HIGHWAY, MARATHON, FL · Baptist Health South Florida · · NPI 1235669110
$770.90
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,186.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$198.06 with BLUE CROSS vs $1,186.00 with BLUE CROSS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $198.06 | ↓ -74% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $249.06 | ↓ -68% |
| LEON MEDICAL | LEON MED MC HMO NC | $249.06 | ↓ -68% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $249.06 | ↓ -68% |
| LEON MEDICAL | LEON HEALTH MC HMO | $249.06 | ↓ -68% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $249.06 | ↓ -68% |
| BLUE CROSS | BCBS MEDICARE PPO | $249.06 | ↓ -68% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $249.06 | ↓ -68% |
| HUMANA | HUMANA MEDICARE | $271.48 | ↓ -65% |
| HUMANA | CAREPLUS MC HMO | $271.48 | ↓ -65% |
| AVMED | AVMED MEDICARE | $273.97 | ↓ -64% |
| AETNA | AETNA MEDICARE | $275.15 | ↓ -64% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $283.93 | ↓ -63% |
| MEDICARE | DEVOTED HEALTH MC HMO | $336.23 | ↓ -56% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $435.26 | ↓ -44% |
| AETNA | AETNA TIER 2 | $578.77 | ↓ -25% |
| AETNA | AETNA HMO | $578.77 | ↓ -25% |
| AETNA | AETNA CATASTROPHIC | $604.86 | ↓ -22% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $737.69 | ↓ -4% |
| INTERNATIONAL | INTERNATIONAL AETNA | $770.90 | ↑ +0% |
| AETNA | AETNA HMO EXCHANGE | $806.48 | ↑ +5% |
| AVMED | AVMED ENTRUST | $814.78 | ↑ +6% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $842.06 | ↑ +9% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $889.50 | ↑ +15% |
| BLUE CROSS | BLUE CARE HMO | $889.50 | ↑ +15% |
| BLUE CROSS | BCBS PPC CAH | $889.50 | ↑ +15% |
| BLUE CROSS | BLUE SELECT | $889.50 | ↑ +15% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $889.50 | ↑ +15% |
| AETNA | AETNA PPO | $908.48 | ↑ +18% |
| CIGNA | CIGNA PPO | $948.80 | ↑ +23% |
| CIGNA | CIGNA HMO | $948.80 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $948.80 | ↑ +23% |
| UNITED HEALTHCARE | NHP HMO | $948.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $948.80 | ↑ +23% |
| UNITED HEALTHCARE | UNITED HMO | $948.80 | ↑ +23% |
| AVMED | AVMED INDIVIDUAL | $982.01 | ↑ +27% |
| AVMED | AVMED HMO | $982.01 | ↑ +27% |
| AVMED | AVMED PPO | $982.01 | ↑ +27% |
| PHCS | PHCS | $1,067.40 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $1,067.40 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $1,067.40 | ↑ +38% |
| BLUE CROSS | BCBS PHS CAH | $1,067.40 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $1,067.40 | ↑ +38% |
| BLUE CROSS | BCBS NETWORKBLUE | $1,186.00 | ↑ +54% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $1,186.00 | ↑ +54% |
| BLUE CROSS | BLUE CROSS | $1,186.00 | ↑ +54% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| cleveland clinic florida weston hospital | Weston | $910.00 | $49.39 – $700.00 |
| martin north hospital | Stuart | $910.00 | $61.15 – $256.95 |
| indian river hospital | Vero Beach | $910.00 | $69.09 – $1,190.00 |
| Baptist Hospital | MIAMI | $526.50 | $12.11 – $173.17 |
| Bethesda Hospital East | BOYNTON BEACH | $770.90 | $271.59 – $1,067.40 |
| Boca Raton Regional Hospital | BOCA RATON | $674.70 | $312.44 – $620.35 |
| Baptist Health Hospital Doral | SOUTH MIAMI | $770.90 | $12.18 – $63.00 |
| Homestead Hospital | HOMESTEAD | $770.90 | $167.89 – $1,067.40 |